Individual
GISELA T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7043
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17712
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001177121
—
CT
Enumeration date
07/14/2006
Last updated
03/14/2012
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